BRIEF REPORT: Factors associated with depression among homeless and marginally housed HIV-infected men in San Francisco

Sheri D. Weiser, Elise D. Riley, Kathleen Ragland, Gwendolyn Hammer, Richard Clark, David Bangsberg

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

OBJECTIVES: To evaluate the prevalence of and factors associated with depression among HIV-infected homeless and marginally housed men. DESIGN: Cross-sectional study. PARTICIPANTS AND SETTING: Homeless and marginally housed men living with HIV in San Francisco identified from the Research on Access to Care in the Homeless (REACH) Cohort. MEASUREMENTS: The primary outcome was symptoms of depression, as measured by the Beck Depression Inventory (BDI). Multivariate logistic regression was used to identify associations of sociodemographic characteristics, drug and alcohol use, housing status, jail status, having a representative payee, health care utilization, and CD4 T lymphocyte counts. RESULTS: Among 239 men, 134 (56%) respondents screened positive for depression. Variables associated with depression in multivariate analysis included white race (adjusted odds ratio [AOR]=2.2, confidence interval [CI]=1.3 to 3.9), having a representative payee (AOR=2.4, CI=1.3 to 4.2), heavy alcohol consumption (AOR=4.7, CI=1.3 to 17.1), and recently missed medical appointments (AOR=2.6, CI=1.4 to 4.8). CONCLUSIONS: Depression is a major comorbidity among the HIV-infected urban poor. Given that missed medical appointments and alcohol use are likely indicators of depression and contributors to continued depression, alternate points of contact are necessary with many homeless individuals. Providers may consider partnering with payees to improve follow-up with individuals who are HIV-positive, homeless, and depressed.

Original languageEnglish (US)
Pages (from-to)61-64
Number of pages4
JournalJournal of General Internal Medicine
Volume21
Issue number1
DOIs
StatePublished - Jan 2006
Externally publishedYes

Fingerprint

San Francisco
HIV
Depression
Odds Ratio
Confidence Intervals
Appointments and Schedules
Patient Acceptance of Health Care
Alcohols
CD4 Lymphocyte Count
Alcohol Drinking
Comorbidity
Multivariate Analysis
Cross-Sectional Studies
Logistic Models
T-Lymphocytes
Equipment and Supplies
Research
Pharmaceutical Preparations

Keywords

  • Depression
  • HIV
  • Homeless
  • Representative payee

ASJC Scopus subject areas

  • Internal Medicine

Cite this

BRIEF REPORT : Factors associated with depression among homeless and marginally housed HIV-infected men in San Francisco. / Weiser, Sheri D.; Riley, Elise D.; Ragland, Kathleen; Hammer, Gwendolyn; Clark, Richard; Bangsberg, David.

In: Journal of General Internal Medicine, Vol. 21, No. 1, 01.2006, p. 61-64.

Research output: Contribution to journalArticle

Weiser, Sheri D. ; Riley, Elise D. ; Ragland, Kathleen ; Hammer, Gwendolyn ; Clark, Richard ; Bangsberg, David. / BRIEF REPORT : Factors associated with depression among homeless and marginally housed HIV-infected men in San Francisco. In: Journal of General Internal Medicine. 2006 ; Vol. 21, No. 1. pp. 61-64.
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